Hospital · CCN 110113
Burke Medical Center
351 South Liberty Street, Waynesboro, GA 30830 · Burke County
Metropolitan area high commuting: primary flow 30% or more to a urbanized area of 50,000 and greater
4 admission types 24 outpatient services price file: ok 1 Medicare-file findings
Billed per dollar paid, all admissions
8.24×
$17.0M billed against $2.1M paid across 58 Medicare discharges; the national figure is 5.03×.
10.9%
of adults in Burke County have medical debt in collections
11.8%
uninsured in the county · state 13.6%
$51K
median household income
8.2×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (1 in the inpatient or outpatient file)ⓘ
40.1%
obesity in the countyⓘ
18.3%
diagnosed diabetes (PLACES)
8.3%
coronary heart disease (PLACES)
—
median age · — below poverty (ACS)
01 · Admissions
What it billed Medicare, by admission type
Average charge submitted and average total payment per discharge, 2024. Rows under 11 discharges are suppressed by CMS. The last column is the hospital's ratio against its state's for the same admission.
DRG
Admission
Discharges
Charge
Paid
Billed ÷ paid
460
Spinal fusion except cervical without mcc
18
$305,888
$37,032
8.3× st 5.1×
468
Revision of hip or knee replacement without cc/mcc
15
$185,104
$25,907
7.1× st 5.9×
455
Combined anterior and posterior spinal fusion without cc/mcc
14
$362,604
$46,883
7.7× st 5.2×
451
Single level spinal fusion except cervical without mcc
11
$329,943
$31,908
10.3× st 10.3×
02 · Outpatient
Outpatient services
Comprehensive APCs, Medicare's outpatient payment groups: submitted charge against what Medicare allowed, per service.
APC
Service
Services
Charge
Allowed
Billed ÷ allowed
5115
Level 5 Musculoskeletal Procedures
594
$136,959
$11,045
12.4×
5114
Level 4 Musculoskeletal Procedures
133
$77,069
$5,982
12.9×
5116
Level 6 Musculoskeletal Procedures
126
$216,180
$15,297
14.1×
5191
Level 1 Endovascular Procedures
59
$27,803
$2,698
10.3×
8011
Comprehensive Observation Services
51
$11,060
$2,316
4.8×
5112
Level 2 Musculoskeletal Procedures
45
$8,860
$1,339
6.6×
5113
Level 3 Musculoskeletal Procedures
44
$24,533
$2,581
9.5×
5431
Level 1 Nerve Procedures
21
$16,725
$1,634
10.2×
5193
Level 3 Endovascular Procedures
18
$111,163
$8,878
12.5×
5373
Level 3 Urology and Related Services
—
—
—
—
5461
Level 1 Neurostimulator and Related Procedures
—
—
—
—
5462
Level 2 Neurostimulator and Related Procedures
—
—
—
—
5464
Level 4 Neurostimulator and Related Procedures
—
—
—
—
5465
Level 5 Neurostimulator and Related Procedures
—
—
—
—
5302
Level 2 Upper GI Procedures
—
—
—
—
5232
Level 2 ICD and Similar Procedures
—
—
—
—
5223
Level 3 Pacemaker and Similar Procedures
—
—
—
—
5222
Level 2 Pacemaker and Similar Procedures
—
—
—
—
5194
Level 4 Endovascular Procedures
—
—
—
—
5192
Level 2 Endovascular Procedures
—
—
—
—
5183
Level 3 Vascular Procedures
—
—
—
—
5182
Level 2 Vascular Procedures
—
—
—
—
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
—
—
—
—
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
—
—
—
—
03 · Its own price file
What the hospital's price-transparency file says
Found via /cms-hpt.txt, the file itself ↗ read as csv-tall, last updated 2026-03-24, template 3.0.0, 61,526 rows scanned, 307 distinct code–setting items kept. 147 findings against it.
Service
Code
Listed
Cash
Negotiated
Rates
Checks
Showing the first 200 of 307 code–setting items in the file, verified codes first — every row as JSON →
Findings
Service
Severity
Rule
Detail
warn
mrf_negotiated_above_gross_systematic
65 of 226 comparable items (29%) fail this check the same way — the column does not mean what the template says it means, for this file or for this reader; e.g. highest negotiated rate $176 exceeds the gross charge $0
CPT 20985/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 87804/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 90377/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 90714/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 90732/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT A4216/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT A4649/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1062/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1713/o
info
mrf_item_fields_vary
this code and setting cover at least 833 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1724/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1725/o
info
mrf_item_fields_vary
this code and setting cover at least 10 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1726/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1734/o
info
mrf_item_fields_vary
this code and setting cover at least 11 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1757/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1760/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1762/o
info
mrf_item_fields_vary
this code and setting cover at least 117 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1763/o
info
mrf_item_fields_vary
this code and setting cover at least 19 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1764/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1767/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1769/o
info
mrf_item_fields_vary
this code and setting cover at least 15 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1776/o
info
mrf_item_fields_vary
this code and setting cover at least 356 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1777/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1778/o
info
mrf_item_fields_vary
this code and setting cover at least 11 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1785/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1820/o
info
mrf_item_fields_vary
this code and setting cover at least 16 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1821/o
info
mrf_item_fields_vary
this code and setting cover at least 25 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1831/o
info
mrf_item_fields_vary
this code and setting cover at least 18 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1874/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1876/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1882/o
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1887/o
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1889/o
info
mrf_item_fields_vary
this code and setting cover at least 54 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1894/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1898/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C1900/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C9809/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J0153/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J0165/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J0282/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J0283/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J0290/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J0295/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J0461/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J0561/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J0665/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J0668/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J0690/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J0694/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J0696/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J0698/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J0713/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J0878/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J1010/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J1100/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J1327/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J1450/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J1580/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J1644/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J1650/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J1720/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J1885/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J1938/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J1956/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J2248/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J2250/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J2543/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J2704/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J2919/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J2997/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J3360/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J3373/o
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J3430/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J3475/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J3480/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J3490/o
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J7060/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J7613/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J7614/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J7626/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT Q9963/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT Q9967/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 10060/o
info
mrf_negotiated_above_gross
highest negotiated rate $176 exceeds the gross charge $0 — part of a file-wide pattern, counted once at the file level
CPT 10061/o
info
mrf_negotiated_above_gross
highest negotiated rate $356 exceeds the gross charge $0 — part of a file-wide pattern, counted once at the file level
CPT 10140/o
info
mrf_negotiated_above_gross
highest negotiated rate $1,446 exceeds the gross charge $0 — part of a file-wide pattern, counted once at the file level
CPT 10160/o
info
mrf_negotiated_above_gross
highest negotiated rate $356 exceeds the gross charge $0 — part of a file-wide pattern, counted once at the file level
CPT 11042/o
info
mrf_negotiated_above_gross
highest negotiated rate $356 exceeds the gross charge $0 — part of a file-wide pattern, counted once at the file level
CPT 11200/o
info
mrf_negotiated_above_gross
highest negotiated rate $176 exceeds the gross charge $0 — part of a file-wide pattern, counted once at the file level
CPT 11400/o
info
mrf_negotiated_above_gross
highest negotiated rate $620 exceeds the gross charge $0 — part of a file-wide pattern, counted once at the file level
CPT 11401/o
info
mrf_negotiated_above_gross
highest negotiated rate $356 exceeds the gross charge $0 — part of a file-wide pattern, counted once at the file level
CPT 11402/o
info
mrf_negotiated_above_gross
highest negotiated rate $620 exceeds the gross charge $0 — part of a file-wide pattern, counted once at the file level
CPT 11403/o
info
mrf_negotiated_above_gross
highest negotiated rate $620 exceeds the gross charge $0 — part of a file-wide pattern, counted once at the file level
CPT 11440/o
info
mrf_negotiated_above_gross
highest negotiated rate $620 exceeds the gross charge $0 — part of a file-wide pattern, counted once at the file level
CPT 11443/o
info
mrf_negotiated_above_gross
highest negotiated rate $1,446 exceeds the gross charge $0 — part of a file-wide pattern, counted once at the file level
CPT 11444/o
info
mrf_negotiated_above_gross
highest negotiated rate $1,446 exceeds the gross charge $0 — part of a file-wide pattern, counted once at the file level
CPT 12001/o
info
mrf_negotiated_above_gross
highest negotiated rate $176 exceeds the gross charge $0 — part of a file-wide pattern, counted once at the file level
CPT 16000/o
info
mrf_negotiated_above_gross
highest negotiated rate $176 exceeds the gross charge $0 — part of a file-wide pattern, counted once at the file level
CPT 16020/o
info
mrf_negotiated_above_gross
highest negotiated rate $176 exceeds the gross charge $0 — part of a file-wide pattern, counted once at the file level
CPT 16025/o
info
mrf_negotiated_above_gross
highest negotiated rate $176 exceeds the gross charge $0 — part of a file-wide pattern, counted once at the file level
CPT 16030/o
info
mrf_negotiated_above_gross
highest negotiated rate $356 exceeds the gross charge $0 — part of a file-wide pattern, counted once at the file level
CPT 17000/o
info
mrf_negotiated_above_gross
highest negotiated rate $176 exceeds the gross charge $0 — part of a file-wide pattern, counted once at the file level
CPT 17110/o
info
mrf_negotiated_above_gross
highest negotiated rate $176 exceeds the gross charge $0 — part of a file-wide pattern, counted once at the file level
CPT 20600/o
info
mrf_negotiated_above_gross
highest negotiated rate $269 exceeds the gross charge $0 — part of a file-wide pattern, counted once at the file level
CPT 20605/o
info
mrf_negotiated_above_gross
highest negotiated rate $269 exceeds the gross charge $0 — part of a file-wide pattern, counted once at the file level
CPT 20610/o
info
mrf_negotiated_above_gross
highest negotiated rate $269 exceeds the gross charge $0 — part of a file-wide pattern, counted once at the file level
CPT 20615/o
info
mrf_negotiated_above_gross
highest negotiated rate $620 exceeds the gross charge $0 — part of a file-wide pattern, counted once at the file level
CPT 21920/o
info
mrf_negotiated_above_gross
highest negotiated rate $1,446 exceeds the gross charge $0 — part of a file-wide pattern, counted once at the file level
CPT 36415/o
info
mrf_negotiated_above_gross
highest negotiated rate $3 exceeds the gross charge $0 — part of a file-wide pattern, counted once at the file level
CPT 54056/o
info
mrf_negotiated_above_gross
highest negotiated rate $176 exceeds the gross charge $0 — part of a file-wide pattern, counted once at the file level
CPT 57061/o
info
mrf_negotiated_above_gross
highest negotiated rate $2,834 exceeds the gross charge $0 — part of a file-wide pattern, counted once at the file level
CPT 69209/o
info
mrf_negotiated_above_gross
highest negotiated rate $52 exceeds the gross charge $0 — part of a file-wide pattern, counted once at the file level
CPT 69210/o
info
mrf_negotiated_above_gross
highest negotiated rate $52 exceeds the gross charge $0 — part of a file-wide pattern, counted once at the file level
CPT 81000/o
info
mrf_negotiated_above_gross
highest negotiated rate $4 exceeds the gross charge $0 — part of a file-wide pattern, counted once at the file level
CPT 81002/o
info
mrf_negotiated_above_gross
highest negotiated rate $4 exceeds the gross charge $0 — part of a file-wide pattern, counted once at the file level
CPT 81003/o
info
mrf_negotiated_above_gross
highest negotiated rate $3 exceeds the gross charge $0 — part of a file-wide pattern, counted once at the file level
CPT 81025/o
info
mrf_negotiated_above_gross
highest negotiated rate $9 exceeds the gross charge $0 — part of a file-wide pattern, counted once at the file level
CPT 82157/o
info
mrf_negotiated_above_gross
highest negotiated rate $40 exceeds the gross charge $13 — part of a file-wide pattern, counted once at the file level
CPT 82272/o
info
mrf_negotiated_above_gross
highest negotiated rate $4 exceeds the gross charge $0 — part of a file-wide pattern, counted once at the file level
CPT 82607/o
info
mrf_negotiated_above_gross
highest negotiated rate $21 exceeds the gross charge $0 — part of a file-wide pattern, counted once at the file level
CPT 82948/o
info
mrf_negotiated_above_gross
highest negotiated rate $4 exceeds the gross charge $0 — part of a file-wide pattern, counted once at the file level
CPT 82962/o
info
mrf_negotiated_above_gross
highest negotiated rate $3 exceeds the gross charge $0 — part of a file-wide pattern, counted once at the file level
CPT 83026/o
info
mrf_negotiated_above_gross
highest negotiated rate $3 exceeds the gross charge $0 — part of a file-wide pattern, counted once at the file level
CPT 84132/o
info
mrf_negotiated_above_gross
highest negotiated rate $6 exceeds the gross charge $0 — part of a file-wide pattern, counted once at the file level
CPT 84703/o
info
mrf_negotiated_above_gross
highest negotiated rate $9 exceeds the gross charge $0 — part of a file-wide pattern, counted once at the file level
CPT 85018/o
info
mrf_negotiated_above_gross
highest negotiated rate $3 exceeds the gross charge $0 — part of a file-wide pattern, counted once at the file level
CPT 85025/o
info
mrf_negotiated_above_gross
highest negotiated rate $11 exceeds the gross charge $0 — part of a file-wide pattern, counted once at the file level
CPT 86308/o
info
mrf_negotiated_above_gross
highest negotiated rate $7 exceeds the gross charge $0 — part of a file-wide pattern, counted once at the file level
CPT 86677/o
info
mrf_negotiated_above_gross
highest negotiated rate $20 exceeds the gross charge $0 — part of a file-wide pattern, counted once at the file level
CPT 86684/o
info
mrf_negotiated_above_gross
highest negotiated rate $22 exceeds the gross charge $0 — part of a file-wide pattern, counted once at the file level
CPT 87430/o
info
mrf_negotiated_above_gross
highest negotiated rate $16 exceeds the gross charge $0 — part of a file-wide pattern, counted once at the file level
CPT 87491/o
info
mrf_negotiated_above_gross
highest negotiated rate $27 exceeds the gross charge $0 — part of a file-wide pattern, counted once at the file level
CPT 87880/o
info
mrf_negotiated_above_gross
highest negotiated rate $16 exceeds the gross charge $0 — part of a file-wide pattern, counted once at the file level
CPT 88150/o
info
mrf_negotiated_above_gross
highest negotiated rate $15 exceeds the gross charge $0 — part of a file-wide pattern, counted once at the file level
CPT 90471/o
info
mrf_negotiated_above_gross
highest negotiated rate $63 exceeds the gross charge $0 — part of a file-wide pattern, counted once at the file level
CPT 92557/o
info
mrf_negotiated_above_gross
highest negotiated rate $113 exceeds the gross charge $0 — part of a file-wide pattern, counted once at the file level
CPT 93005/o
info
mrf_negotiated_above_gross
highest negotiated rate $52 exceeds the gross charge $0 — part of a file-wide pattern, counted once at the file level
CPT 94640/o
info
mrf_negotiated_above_gross
highest negotiated rate $192 exceeds the gross charge $0 — part of a file-wide pattern, counted once at the file level
CPT 95115/o
info
mrf_negotiated_above_gross
highest negotiated rate $41 exceeds the gross charge $0 — part of a file-wide pattern, counted once at the file level
CPT 95117/o
info
mrf_negotiated_above_gross
highest negotiated rate $41 exceeds the gross charge $0 — part of a file-wide pattern, counted once at the file level
CPT 96372/o
info
mrf_negotiated_above_gross
highest negotiated rate $63 exceeds the gross charge $0 — part of a file-wide pattern, counted once at the file level
CPT 97597/o
info
mrf_negotiated_above_gross
highest negotiated rate $176 exceeds the gross charge $0 — part of a file-wide pattern, counted once at the file level
CPT C9781/o
info
mrf_negotiated_above_gross
highest negotiated rate $11,238 exceeds the gross charge $6,000 — part of a file-wide pattern, counted once at the file level
CPT G0008/o
info
mrf_negotiated_above_gross
highest negotiated rate $41 exceeds the gross charge $0 — part of a file-wide pattern, counted once at the file level
CPT G0009/o
info
mrf_negotiated_above_gross
highest negotiated rate $41 exceeds the gross charge $0 — part of a file-wide pattern, counted once at the file level
CPT G0101/o
info
mrf_negotiated_above_gross
highest negotiated rate $89 exceeds the gross charge $0 — part of a file-wide pattern, counted once at the file level
CPT G0402/o
info
mrf_negotiated_above_gross
highest negotiated rate $117 exceeds the gross charge $0 — part of a file-wide pattern, counted once at the file level
CPT Q0091/o
info
mrf_negotiated_above_gross
highest negotiated rate $25 exceeds the gross charge $0 — part of a file-wide pattern, counted once at the file level
04 · Checks
Where the Medicare rows do not agree with themselves
Service
Severity
Rule
Detail
MS-DRG 451
info
inp_charge_10x_payment
average charge $329,943 is 10.3× the total payment
Sources for this hospital
the files read, as fetched — not our copy of them- MUP_INP_RY26_P03_V10_DY24_PrvSvc.CSV · 38.0M bytes · fetched 2026-08-21 · sha256 2ab6da15be4c… · publisher's page · public domain (US federal)
- MUP_OUT_RY26_P04_V10_DY24_Prov_Svc.csv · 28.1M bytes · fetched 2026-08-21 · sha256 f293918edbf6… · publisher's page · public domain (US federal)
- chsp-hospital-linkage-2023.csv · 1.5M bytes · fetched 2026-08-21 · sha256 a86146f10c8d… · publisher's page · public; cite AHRQ Compendium of U.S. Health Systems
- 2020 ZCTA to County relationship file · US Census Bureau · 2020tab20_zcta520_county20_natl.txt · 6.8M bytes · fetched 2026-08-21 · sha256 3ed41278d637… · publisher's page · public domain (US federal)
- Burke Medical Center — standard charges file · GA · updated 2026-03-24· csv-tall · 12.0M bytes · fetched 2026-08-26 · sha256 2945482acda4…
Every figure on this page is computed from these files by pipeline/prices/; the same rows are in the API.
Source rows for this hospital as JSON: inpatient · outpatient · price file. CMS, Medicare Inpatient and Outpatient Hospitals by Provider and Service, 2024.